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Complaint Investigation Form <br /> Report#: 5104 <br /> COMPLAINT ID: C00043356 Site Location: LOWER SACRAMENTO RD Account/D. : <br /> Receivedby: EE0000707 VERNENGO <br /> Assigned7o: EE0000009 LOEHRER Received Date: 4/25/2017 Print Date: 4/25/2017 11:26:45AM <br /> Assigned Date: 4/25/2017 <br /> Proorem I <br /> Ment Cod&1546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : BEN MAPLE <br /> Address Home Phone 209-329-6014 <br /> Work Phone <br /> -Mail Address <br /> Nature of complaint: <br /> COMPLAINANT ALLEGES APPROXIMATELY 4 YARDS OF WHITE POWDER DUMPED ON THE SIDE OF THE ROAD. <br /> Complaint Mode: p Complaint Mode Codes A-Agency Referral B. <br /> Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> ——————————————————--1-Intemet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION ------------------- <br /> PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property O <br /> Site Location LOWER SACRAMENTO RP/DBA p caner <br /> LODI,CA RP Address <br /> Cross Street LIBERTY <br /> Billing Address <br /> Phone Home Phone <br /> Work Phone <br /> District <br /> Location Code <br /> APN <br /> Date Abated G�7 p <br /> 7 Z r'�r 7 Inspector ID#: �( pr79 <br /> ------------------ -----------------------------end Retema/to Referral Letter Sent by <br /> Referral Atldress <br /> Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 0 -Violations Cited-see Linked P-ROGRAM FA ILITY'FIIL'E 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 0 Reffeffed to Other Agency `J✓C , -(� 1'G wl)&!s <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> CIO L-7 <br /> omp aint emewe te: <br /> / p ate 1 'if <br /> Dat <br /> 5704.rpt <br />